Provider Demographics
NPI:1609472299
Name:TRANSFORMATIONAL JOURNEYS
Entity Type:Organization
Organization Name:TRANSFORMATIONAL JOURNEYS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-933-9652
Mailing Address - Street 1:620 TERESA CT SE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-2382
Mailing Address - Country:US
Mailing Address - Phone:505-933-9652
Mailing Address - Fax:
Practice Address - Street 1:620 TERESA CT SE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-2382
Practice Address - Country:US
Practice Address - Phone:505-933-9652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-08
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty